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http://pediatrics.aappublications.org/cgi/content/full/peds.2017-0108v1?rss=1
2017-08-17T00:08:55-07:00info:doi/10.1542/peds.2017-0108hwp:master-id:pediatrics;peds.2017-0108American Academy of Pediatrics2017-08-17Pediatrics Perspectiveshttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-4171v1?rss=1
In this systematic literature review, we found evidence that parents of hospitalized children who received coping support interventions had better emotional well-being.]]>2017-08-17T00:08:55-07:00info:doi/10.1542/peds.2016-4171hwp:master-id:pediatrics;peds.2016-4171American Academy of Pediatrics2017-08-17Review Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0670v1?rss=1
When a nurse questions a doctors’ care plan, ethical issues arise regarding role-specific duties and obligations.]]>2017-08-16T00:08:54-07:00info:doi/10.1542/peds.2017-0670hwp:master-id:pediatrics;peds.2017-0670American Academy of Pediatrics2017-08-16Ethics Roundshttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-3494v1?rss=1
An improvement collaborative of multiple children’s hospitals focused on how process improvement and safety culture impact HACs and SSEs.]]>2017-08-16T00:08:54-07:00info:doi/10.1542/peds.2016-3494hwp:master-id:pediatrics;peds.2016-3494American Academy of Pediatrics2017-08-16Quality Reporthttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0338v1?rss=1
In this study of 4525 children, a 1-hour-longer sleep duration was associated with lower levels of adiposity, insulin resistance, and fasting glucose.]]>2017-08-15T00:08:50-07:00info:doi/10.1542/peds.2017-0338hwp:master-id:pediatrics;peds.2017-0338American Academy of Pediatrics2017-08-15Articlehttp://pediatrics.aappublications.org/cgi/content/full/peds.2017-2015v1?rss=1
2017-08-15T00:08:50-07:00info:doi/10.1542/peds.2017-2015hwp:master-id:pediatrics;peds.2017-2015American Academy of Pediatrics2017-08-15Commentaryhttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0441v1?rss=1
By using linked nationwide registry data from Denmark, we characterize the impacts of birth season and birth year on patterns of antibiotic prescribing during infancy.]]>2017-08-14T00:08:55-07:00info:doi/10.1542/peds.2017-0441hwp:master-id:pediatrics;peds.2017-0441American Academy of Pediatrics2017-08-14Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0017v1?rss=1
Despite cannabis consumption being illegal in France, its use is increasing, and the evolution of related unintentional pediatric intoxications is still poorly documented.]]>2017-08-14T00:08:55-07:00info:doi/10.1542/peds.2017-0017hwp:master-id:pediatrics;peds.2017-0017American Academy of Pediatrics2017-08-14Articlehttp://pediatrics.aappublications.org/cgi/content/full/peds.2017-1695v1?rss=1
2017-08-14T00:08:55-07:00info:doi/10.1542/peds.2017-1695hwp:master-id:pediatrics;peds.2017-1695American Academy of Pediatrics2017-08-14Commentaryhttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-2452v1?rss=1
We describe a case of invasive meningococcal disease due to a vaccine-preventable and penicillin-resistant strain in a fully immunized young adult on long-term complement inhibitor therapy and daily penicillin chemoprophylaxis. Eculizumab is a humanized monoclonal antibody that binds human complement C5 protein and inhibits the terminal complement pathway. It is currently recommended for the treatment of complement-mediated thrombotic microangiopathies. An unwanted complication of inhibiting complement, however, is an increased risk of invasive meningococcal disease. Here, we report the first case of meningococcal group B vaccine failure in a young adult receiving eculizumab for atypical hemolytic uremic syndrome. She developed invasive meningococcal disease due to a vaccine-preventable and penicillin-resistant meningococcal group B strain 4 months after receiving 2 doses of meningococcal group B vaccine while on oral penicillin prophylaxis against meningococcal infection.]]>2017-08-11T00:08:44-07:00info:doi/10.1542/peds.2016-2452hwp:master-id:pediatrics;peds.2016-2452American Academy of Pediatrics2017-08-11Case Reporthttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-1263v1?rss=1
We find that VP birth does not lower parents’ quality of life in the long-term.]]>2017-08-10T00:08:50-07:00info:doi/10.1542/peds.2017-1263hwp:master-id:pediatrics;peds.2017-1263American Academy of Pediatrics2017-08-10Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0073v1?rss=1
A 3-day-old male is referred to you for evaluation of bloody stools. What do you do when your history and examination do not match?]]>2017-08-10T00:08:50-07:00info:doi/10.1542/peds.2017-0073hwp:master-id:pediatrics;peds.2017-0073American Academy of Pediatrics2017-08-10Diagnostic Dilemmashttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-3534v1?rss=1
This review article presents current knowledge of the role of immunity in relation to seizures, with a particular emphasis on clinical data available in childhood.]]>2017-08-09T00:08:49-07:00info:doi/10.1542/peds.2016-3534hwp:master-id:pediatrics;peds.2016-3534American Academy of Pediatrics2017-08-09State-of-the-Art Review Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-2950v1?rss=1
This study demonstrates that IP father-to-daughter-transmission is due to somatic/germ-line mosaicism identified through the skin/germ-line of an IP male.]]>2017-08-09T00:08:49-07:00info:doi/10.1542/peds.2016-2950hwp:master-id:pediatrics;peds.2016-2950American Academy of Pediatrics2017-08-09Case Reporthttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0072v1?rss=1
Secondary analysis of randomized controlled trial to identify subgroups of children with AOM who would and would not benefit most from antimicrobials.]]>2017-08-08T00:08:47-07:00info:doi/10.1542/peds.2017-0072hwp:master-id:pediatrics;peds.2017-0072American Academy of Pediatrics2017-08-08Articlehttp://pediatrics.aappublications.org/cgi/content/full/peds.2017-1772v1?rss=1
2017-08-08T00:08:47-07:00info:doi/10.1542/peds.2017-1772hwp:master-id:pediatrics;peds.2017-1772American Academy of Pediatrics2017-08-08Monthly Featurehttp://pediatrics.aappublications.org/cgi/content/full/peds.2017-1966v1?rss=1
2017-08-07T00:08:51-07:00info:doi/10.1542/peds.2017-1966hwp:master-id:pediatrics;peds.2017-1966American Academy of Pediatrics2017-08-07Commentaryhttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0181v1?rss=1
In this 10-year prospective study, we capture the epidemiology and risk factors of AOM and the otitis-prone condition in the PCV era.]]>2017-08-07T00:08:51-07:00info:doi/10.1542/peds.2017-0181hwp:master-id:pediatrics;peds.2017-0181American Academy of Pediatrics2017-08-07Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-3000v1?rss=1
In this randomized controlled trial, we examined the effect of early LGG infant supplementation in decreasing the risk of childhood eczema.]]>2017-08-07T00:08:51-07:00info:doi/10.1542/peds.2016-3000hwp:master-id:pediatrics;peds.2016-3000American Academy of Pediatrics2017-08-07Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0503v1?rss=1
An investigation using group trajectory analysis of care environment and other factors affecting the educational progress of looked-after children in England.]]>2017-08-04T00:08:28-07:00info:doi/10.1542/peds.2017-0503hwp:master-id:pediatrics;peds.2017-0503American Academy of Pediatrics2017-08-04Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0195v1?rss=1
This executive summary describes current challenges to conducting pediatric medication safety research and highlights state-of-the-art methodologies to overcome these challenges.]]>2017-08-04T00:08:28-07:00info:doi/10.1542/peds.2017-0195hwp:master-id:pediatrics;peds.2017-0195American Academy of Pediatrics2017-08-04Special Articlehttp://pediatrics.aappublications.org/cgi/content/full/peds.2017-0225v1?rss=1
2017-08-03T00:08:27-07:00info:doi/10.1542/peds.2017-0225hwp:master-id:pediatrics;peds.2017-0225American Academy of Pediatrics2017-08-03Pediatrics Perspectiveshttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-4274v1?rss=1
The benefit of early age at intervention for language development of children with PCHL increases with the degree of hearing loss.]]>2017-08-03T00:08:27-07:00info:doi/10.1542/peds.2016-4274hwp:master-id:pediatrics;peds.2016-4274American Academy of Pediatrics2017-08-03Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0298v2?rss=1
Through a retrospective chart review, this study determined the incidence of VPDs in central-Pennsylvania Amish, Mennonite, and non-Plain children requiring hospitalization.]]>2017-08-02T13:08:22-07:00info:doi/10.1542/peds.2017-0298hwp:master-id:pediatrics;peds.2017-0298American Academy of Pediatrics2017-08-02Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2016-2819v1?rss=1
This case report suggests a clinically significant immunocompromised state subsequent to in utero exposure to rituximab in a preterm infant with 2 episodes of sepsis.]]>2017-08-02T00:08:36-07:00info:doi/10.1542/peds.2016-2819hwp:master-id:pediatrics;peds.2016-2819American Academy of Pediatrics2017-08-02Case Reporthttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0492v1?rss=1
Health care expenditures and use attributed to children vary with illness severity and chronicity. We describe health care expenditures and use for children with NC-CDs.]]>2017-08-01T00:08:32-07:00info:doi/10.1542/peds.2017-0492hwp:master-id:pediatrics;peds.2017-0492American Academy of Pediatrics2017-08-01Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-0962v1?rss=1
We describe trends in pediatric ED use and identify characteristics of Medicaid-insured children who experience high-frequency ED use over 3 consecutive years.]]>2017-08-01T00:08:31-07:00info:doi/10.1542/peds.2017-0962hwp:master-id:pediatrics;peds.2017-0962American Academy of Pediatrics2017-08-01Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-1095v1?rss=1
What are the high-expenditure outpatient medications used by Medicaid enrollees, and what are the characteristics of the users of these drugs?]]>2017-08-01T00:08:31-07:00info:doi/10.1542/peds.2017-1095hwp:master-id:pediatrics;peds.2017-1095American Academy of Pediatrics2017-08-01Articlehttp://pediatrics.aappublications.org/cgi/content/abstract/peds.2017-2098v1?rss=1
After passage of the Patient Protection and Affordable Care Act, more children and young adults have become insured and have benefited from health care coverage than at any time since the creation of the Medicaid program in 1965. From 2009 to 2015, the uninsurance rate for children younger than 19 years fell from 9.7% to 5.3%, whereas the uninsurance rate for young adults 19 to 25 years of age declined from 31.7% to 14.5%. Nonetheless, much work remains to be done. The American Academy of Pediatrics (AAP) believes that the United States can and should ensure that all children, adolescents, and young adults from birth through the age of 26 years who reside within its borders have affordable access to high-quality and comprehensive health care, regardless of their or their families’ incomes. Public and private health insurance should safeguard existing benefits for children and take further steps to cover the full array of essential health care services recommended by the AAP. Each family should be able to afford the premiums, deductibles, and other cost-sharing provisions of the plan. Health plans providing these benefits should ensure, insofar as possible, that families have a choice of professionals and facilities with expertise in the care of children within a reasonable distance of their residence. Traditional and innovative payment methodologies by public and private payers should be structured to guarantee the economic viability of the pediatric medical home and of other pediatric specialty and subspecialty practices to address developing shortages in the pediatric specialty and subspecialty workforce, to promote the use of health information technology, to improve population health and the experience of care, and to encourage the delivery of evidence-based and quality health care in the medical home, as well as in other outpatient, inpatient, and home settings. All current and future health care insurance plans should incorporate the principles for child health financing outlined in this statement. Espousing the core principle to do no harm, the AAP believes that the United States must not sacrifice any of the hard-won gains for our children. Medicaid, as the largest single payer of health care for children and young adults, should remain true to its origins as an entitlement program; in other words, future fiscal or regulatory reforms of Medicaid should not reduce the eligibility and scope of benefits for children and young adults below current levels nor jeopardize children’s access to care. Proposed Medicaid funding "reforms" (eg, institution of block grant, capped allotment, or per-capita capitation payments to states) will achieve their goal of securing cost savings but will inevitably compel states to reduce enrollee eligibility, trim existing benefits (such as Early and Periodic Screening, Diagnostic, and Treatment), and/or compromise children’s access to necessary and timely care through cuts in payments to providers and delivery systems. In fact, the AAP advocates for increased Medicaid funding to improve access to essential care for existing enrollees, fund care for eligible but uninsured children once they enroll, and accommodate enrollment growth that will occur in states that choose to expand Medicaid eligibility. The AAP also calls for Congress to extend funding for the Children’s Health Insurance Program, a plan vital to the 8.9 million children it covered in fiscal year 2016, for a minimum of 5 years.]]>2017-07-17T00:08:24-07:00info:doi/10.1542/peds.2017-2098hwp:master-id:pediatrics;peds.2017-2098American Academy of Pediatrics2017-07-17From the American Academy of Pediatrics